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104929 STRYKER MEDICAL
Page 1 of 1 INDIANA RETAIL TAX EXEMPT $*/0!-)!$&.,(+ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 104929 FEDERAL EXCISE TAX EXEMPT 35-6000972 ONE CIVIC SQUARE ;12: 6<5+.9 5<:; *88.*9 76 26=72,.:# *%8 =7<,1.9# -.42=.9? 5.57# 8*,3260 :428:# CARMEL, INDIANA 46032-2584 :1288260 4*+.4: *6- *6? ,799.:876-.6,. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION LifePak for EDO 1/25/202100351580 STRYKER MEDICAL Fire Department VENDORPO BOX 93308 SHIP 2 Civic Square TO Carmel, IN 46032- CHICAGO, IL 60673 - PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 53408 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department:Fund: 1120102Ambulance Capital Fund Account: 44-670.06 1Each99577-001957LIFEPAK 15$30,118.60$30,118.60 Each 111577000002Lifepak 15 Basic Carry Case$276.34$276.34 Each 111220-000028Lifepak 15 Carry Case$50.02$50.02 Each 111260-000039Lifepak 15 Carry Case$71.34$71.34 Each 121300-008159LifePak 15 NIBP Hose$62.05$62.05 Each 111171-000049Masimo Rainbow DCI Adult$524.80$524.80 Each 111171-000050Masimo Rainbow Pediatric$578.10$578.10 Each 178000008On Site Prevent for LifePak 15$4,590.00$4,590.00 Each 141577-000288Ship Kit$0.00$0.00 Each 121996-000109Titan III WiFi Gateway$848.70$848.70 Sub Total$37,119.95 Send Invoice To: Fire Department 2 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT $37,119.95 +"0($). " %$2 716',)3 '%0015 &) %22317)( *13 2%9/)05 60.)44 5,) 2#1# 06/&)3 -4 /%() % -&'++')% ')-.,/#.'*)- 2%35 1* 5,) 716',)3 %0( )7)39 -071-') %0( 716',)3 ,%4 5,) 2312)3 48130 ":128 89.8*2-$ %**-(%7-5 %55%',)(# - ,)3)&9 ')35-*9 5,%5 5,)3) -4 %0 601&.-+%5)( &%.%0') -0 ",$7$-$ :1285.6; ,*667; +. *,,.8;.-$5,-4 %223123-%5-10 46**-'-)05 51 2%9 *13 5,) %&17) 13()3# "8<9,1*:. 79-.9 6<5+.9 5<:; *88.*9 76 *44 :1288260 4*+.4 ";12: 79-.9 2::<.- 26 ,75842*6,. >2;1 ,1*8;.9 ))# *,;: &)'( ORDERED BY *6- *,;: *5.6-*;79? ;1.9.7/ *6- :<884.5.6; ;1.9.;7$ Denise Snyder TITLEAccreditation/Budget Administrator 104929 '10531. 01# CLERK-TREASURER